Individual
MICHAEL TRAVISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1780
SC
103T00000X
Psychologist
Primary
B1-0011432
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1-0011432
STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION
DE
Enumeration date
05/05/2020
Last updated
08/28/2025
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